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Published on: February 20, 2017
Physiopathology of the aging heart
Filippo Cademartiri1, Ludovico La Grutta, Pim J de Feyter
1Department of Radiology and Cardiology, Erasmus Medical Center, s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands. filippocademartiri@hotmail.com
Insights
Coronary heart disease is a major health concern for older adults. This review highlights aging
Area of Science:
- Cardiology
- Geriatrics
- Medical Imaging
Background:
- Coronary heart disease (CHD) is the primary cause of illness and death in the elderly population.
- Aging involves physiological changes that increase the risk and impact of heart disease.
- High prevalence of both clinical and subclinical heart disease necessitates preventive strategies.
Purpose of the Study:
- To review the prevalence and impact of heart disease in older adults.
- To discuss increasing risk factors and physiological changes associated with aging.
- To focus on advanced noninvasive imaging techniques for cardiac assessment.
Main Methods:
- Review of existing literature on aging, heart disease, and risk factors.
- Focus on recently developed noninvasive cardiac imaging modalities.
- Specific mention of cardiac multislice computed tomography (CT) and cardiac magnetic resonance (MR) imaging.
Main Results:
- Aging significantly increases the risk and prevalence of coronary heart disease in the elderly.
- Noninvasive imaging techniques offer new avenues for early detection and management.
- Cardiac multislice CT and MR imaging are highlighted as key advancements.
Conclusions:
- Despite advances, coronary heart disease remains a critical issue for older adults.
- Understanding aging-related physiological changes is crucial for prevention.
- Advanced noninvasive imaging like cardiac CT and MR holds promise for improved cardiac care in the elderly.
Abstract:
Coronary heart disease remains the leading cause of morbidity and mortality in older adults, despite improved survival and declining mortality. Prevalence in and impact of heart disease on elderly people, increasing risk factors, and the underlying physiologic changes of aging are briefly reviewed. High prevalence of clinical and subclinical heart disease provides a basis for considering opportunities for prevention and follow-up. This article focuses on recently developed noninvasive techniques, such as cardiac multislice CT and cardiac MR imaging.
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